MISS JULIE CLARK (NPI# 1093737439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093737439 |
| Entity Type | Individual |
| Full Name | MISS JULIE CLARK |
| Credential | P.A. |
| Practice Address |
307 North Broadway Poteau OK 74953-0689 |
| Practice Telephone | 9186472349 |
| Practice Fax Number | 9186412359 |
| Mailing Telephone | 9186472349 |
| Mailing Fax Number | 9186412359 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1528 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200089790A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700355468 | Julie Clark | Social Worker | 3733 Spotted Jack Loop N, Billings, MT 59101-6974 | 2018-11-24 |
| 1104328442 | Julie Clark | Physical Therapist | 14929 Sandstone Pl, Grand Haven, MI 49417-7947 | 2018-03-02 |
| 1689918450 | Julie Kaye Clark | Lactation Consultant, Non-RN | 1301 Motter Avenue, Frederick, MD 21701 | 2012-11-19 |
| 1336447663 | Julie Clark | Speech-Language Pathologist | 6276 Plattsburg Rd, South Charleston, OH 45368-8801 | 2011-03-10 |
| 1649577800 | Julie R Clark | Speech-Language Pathologist | 118 N Pearl St, Frewsburg, NY 14738-9514 | 2011-02-23 |
| 1114159555 | Julie J Clark | Nurse Practitioner | 682 Hemlock St Ste 290, Macon, GA 31201-8312 | 2009-08-19 |
| 1073748349 | Julie W. Clark | Dietitian, Registered | 106 W Washington St., Jefferson, IA 50129-1920 | 2009-05-15 |
| 1245372929 | Julie Lynn Clark | Occupational Therapist | 2446 Forest Leaf Pkwy, Wildwood, MO 63011-1847 | 2007-02-12 |
| 1649214131 | Julie Clark | Physician Assistant | 10255 Overland Rd, Boise, ID 83709-1430 | 2006-06-15 |
| 1346216389 | Julie D Clark | Obstetrics & Gynecology | 1550 Professional Dr Ste A, Suite 100, Petaluma, CA 94954-6655 | 2006-02-28 |
| Street Address |
307 NORTH BROADWAY |
| City | POTEAU |
| State | OK |
| Zip Code | 74953-0689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710073283 | Jason Daniel Carter | General Acute Care Hospital | 307 North Broadway, Poteau, OK 74953 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| Find all providers in zip 74953 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821508037 | Bridget Ann Van Treese | Nurse Practitioner | 2828 Nw 57th St Ste 300, Oklahoma City, OK 73112-7070 | 2017-10-03 |
| 1356862338 | Heather Spiegel | Nurse Practitioner | 3435 Nw 56th St Ste 711, Oklahoma City, OK 73112-4414 | 2017-06-29 |
| 1649710369 | Daniel Hall | Nurse Practitioner | 2308 Ok-66, Stroud, OK 74079 | 2017-02-28 |
| 1538514419 | Tyler Smith | Nurse Practitioner | 11204 S Cleveland St, Jenks, OK 74037-6202 | 2016-04-28 |
| 1962864850 | Anthony Thomas Nye | Nurse Practitioner | 926 N Mckinley Ave, Sand Springs, OK 74063-7813 | 2016-03-22 |
| 1285032508 | Salubrious Nurse Practitioners, Pllc | Nurse Practitioner | 601 S Service Rd, #6253, Moore, OK 73160-5420 | 2014-12-18 |
| 1245657378 | Kelsey Schumacher | Nurse Practitioner | 1705 S 19th St., Ste 302, Tulsa, OK 74104 | 2014-03-26 |
| 1831441930 | Brook Wayne Hightower | Nurse Practitioner | 14021 Crossing Way E, Edmond, OK 73013-4731 | 2012-10-12 |
| 1205102076 | Jamie A Lynch | Nurse Practitioner | 3400 W Tecumseh Rd Ste 300, Norman, OK 73072-1812 | 2012-03-27 |
| 1457528614 | Ingrid Patton | Nurse Practitioner | 2000 S Wheeling Ave Ste 200, Tulsa, OK 74104-5656 | 2008-05-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.